PATIENT BILL OF RIGHTS

As a customer and patient of Wellstart Medical (“Wellstart” or the “Company”) you have the right to:

  1. Be fully informed, in advance, about the service to be provided by Wellstart;
  2. Be fully informed of any financial, or other responsibility as soon as it is readily known;
  3. Receive information about the scope of services that the Company will provide and specific
    limitations on those services;
  4. Refuse service after the consequences, if any, of refusing service are fully presented;
  5. Be informed of client/patient rights under state law;
  6. Have one’s property and person treated with respect, consideration, and recognition of client/patient dignity and individuality;
  7. Be free from mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and misappropriation of client/patient property;
  8. Voice grievances or complaints regarding the Company, service, or lack of respect of property, or recommend changes in policy, personnel, interference, coercion, discrimination, or reprisal;
  9. Have grievances or complaints regarding the Company or service that is, or fails to be furnished, or lack of respect of property;
  10. Confidentiality and privacy of all information contained in the client/patient record and of Protected Health Information kept or maintained by Wellstart;
  11. Be advised of the Company’s policies and procedures regarding the disclosure of clinical records;
  12. Receive appropriate service and care without discrimination and in accordance with physician’s orders;
  13. Choose a health care provider, including an attending physician;
  14. Receive appropriate care without discrimination and in accordance with physician orders;
  15. Be fully informed of your responsibilities.


As a customer and patient of Wellstart you have the responsibility to:

  1. Promptly report to the Company any malfunctions or defects in the supplies;
  2. Use the supplies in compliance with the physician’s order and in a safe and proper manner, follow proper storage, and cleaning instructions;
  3. Notify Wellstart of any change in health insurance coverage, address, telephone number, physician or prescribed use;
  4. Notify Wellstart upon your admission to a hospital, skilled nursing facility, or home health care agency;
  5. Accept and fulfill financial responsibility for equipment and/or supplies furnished by Wellstart that is deemed to be noncovered by your third-party insurance company, including co-pays, co-insurance, deductibles, and any other items;
  6. Request further information concerning anything you do not understand.